Relationship between alexithymia, loneliness, resilience and non-suicidal self-injury in adolescents with depression: a multi-center study.

OBJECTIVE: Non-suicidal self-injury (NSSI) behaviors are prevalent in adolescents and have adverse effects on physical and mental health. However, little is known about the relationship between NSSI and alexithymia, or the underlying mechanisms that could explain this relationship. This study aimed to elucidate the current status of NSSI in adolescent depression, and analyze the relationship between alexithymia, loneliness, resilience, and adolescent depression with NSSI, so as to provide a theoretical basis for psychotherapeutic interventions. METHOD: The study sample involved inpatients and outpatients from 12 hospitals across China and adolescents with depression who met the DSM-5 diagnostic criteria for depression episode. The following scales were used: The Functional Assessment of Self-Mutilation, Toronto Alexithymia Scale, UCLA Loneliness Scale, and Connor Davidson Resilience Scale. RESULTS: The detection rate of NSSI in adolescents with depression from 2021.01.01-2022.01.01 was 76.06% (1782/2343). Spearman's correlation analysis revealed a significant correlation between alexithymia, loneliness, resilience and NSSI in depressed adolescents, and the results of the non-parametric test showed that the differences between the two groups for each factor were statistically significant. Binary logistic regression results showed that alexithymia (B = 0.023, p = 0.003, OR = 1.023, 95% CI: 1.008-1.038) and depression (B = 0.045, p < 0.001, OR = 1.046, 95% CI: 1.026-1.066) are risk factors for NSSI, resilience (B = - 0.052, p < 0.001, OR = 0.949, 95% CI: 0.935 - 0.964) is a protective factor for NSSI. Alexithymia directly predicted NSSI and also indirectly influenced NSSI through the mediated effect of resilience. Loneliness moderates the first half of the path of this mediated model. CONCLUSION: The present study confirms a moderated mediation effect: Alexithymia can have an impact on NSSI behaviors in depressed adolescents through the mediating role of resilience. Loneliness, as a moderating variable, moderated the first half of the pathway of the mediating model. We discuss perspectives for future research and interventions based on the findings of the study.

Relationship between borderline personality features, emotion regulation, and non-suicidal self-injury in depressed adolescents: a cross-sectional study.

OBJECTIVE: Non-suicidal self-injury (NSSI) is common among adolescents and has been linked to mental disorders and suicide in addition to physical injuries. According to the empirical avoidance model, adolescents with NSSI have stronger emotional affect and poorer emotional regulation than those without NSSI, and these constitute core features of borderline personality disorder (BPD). The relationship between borderline personality features, emotional regulation, and NSSI in the population is unclear. This study explored these associations to provide a theoretical basis for the treatment of NSSI in the future. METHODS: Depressed adolescents (n = 1192) were evaluated using Chinese versions of the Function Assessment of Self-mutilation Scale, Emotional Regulation Questionnaire for Children and Adolescents, and Borderline Personality Features Scale for Children. RESULTS: The majority of depressed adolescents (71.3%, 850/1192) had demonstrated NSSI in the past year, with cutting or scratching being the most common form (57.4%). Pearson correlation analysis with NSSI as a fixed factor (NSSI = 1, no NSSI = 2) revealed a negative correlation between NSSI and borderline personality features (r = -0.314, P < 0.01) but a positive correlation between NSSI and emotional regulation capacity (r = 0.159, P < 0.01), which was positively correlated with the expression suppression dimension (r = 0.079, p < 0.01); however, there was no significant correlation between the cognitive reappraisal dimension and expression suppression (r = 0.022, p > 0.05). The occurrence of NSSI was also positively correlated with borderline personality features in general (r = 0.314, p < 0.01). These results were statistically significant. Emotional regulation played a mediating role between borderline personality traits and NSSI in adolescents with depression (effect value = 0.151). CONCLUSION: Borderline personality features and emotional regulation ability were significantly correlated with NSSI in depressed adolescents. Borderline personality symptoms not only directly influenced NSSI risk in adolescents with depression, but also indirectly influenced NSSI risk through emotional regulation.

Roles of NOD1/Rip2 signal pathway in carotid artery remodelling in spontaneous hypertensive rats.

Nucleotide-binding and oligomerization domain (NOD) receptor is a member of inherent immunity recognition receptor family. We investigated the NOD1/Rip2 signalling pathway on carotid arterial remodelling in spontaneously hypertensive rats (SHRs). SHRs were treated with NOD1 agonist (iE-DAP), inhibitor (ML130), or normal saline. We determined the NOD1 and Rip2 expression in carotid artery tissues, serum tumour necrosis factor-α (TNF-α) and monocyte chemotactic protein-1 (MCP-1). The carotid artery remodelling in 16-week SHRs was higher than that of 8-week SHRs and 16-week Wistar-Kyoto (WKY) rats. Expression of NOD1, Rip2, MCP-1 and TNF-α in 16-week SHRs was higher than that of 8-week SHRs and 16-week WKY rats. Blood pressure in iE-DAP-treated SHRs was higher than SHR-C group (no treatment), together with MCP-1, TNF-α, NOD1 and Rip2 expression, as well as carotid artery remodelling. In ML130-treated group, these aspects were completely the opposite. Taken together, inhibition of NOD1/Rip2 signalling pathway could delay the vascular remodelling process.

The Role of the NOD1/Rip2 Signaling Pathway in Myocardial Remodeling in Spontaneously Hypertensive Rats.

BACKGROUND Chronic hypertension changes the function and structure of the heart and blood vessels. This study aimed to explore the role of the NOD1/Rip2 (nucleotide-binding oligomerization domain 1/receptor-interacting protein 2) signaling pathway in myocardial remodeling in spontaneously hypertensive rats (SHRs). MATERIAL AND METHODS Blood pressure was measured using a tail cuff. The cardiac structure was observed using echocardiography. Slices of the myocardium were stained with hematoxylin and eosin. The expression of NOD1 and Rip2 was detected using real-time polymerase chain reaction, western blot, and immunohistochemistry. The content and distribution of collagen in the myocardium were observed using Van Gieson staining. Enzyme-linked immunosorbent assay was used to detect the interleukin-1 (IL-1) concentrations. SHRs were treated with the NOD1 agonist iE-DAP and NOD1 inhibitor ML130. RESULTS The NOD1 agonist increased blood pressure in SHRs, and the NOD1 inhibitor decreased blood pressure; the interventricular septum thickness (IVST) and left ventricular posterior wall thickness (LVPWT) of the agonist-treated group were thicker than those of the control group, and the antagonist exerted the opposite effects. The levels of the NOD1 and Rip2 mRNAs and proteins, serum IL-1 concentration, and myocardial collagen volume fraction (CVF%) increased in SHRs in the NOD1 agonist group, but the levels of NOD1 and Rip2, serum IL-1 concentration, and myocardial collagen volume fraction (CVF%) decreased in SHRs in the NOD1 inhibitor group. CONCLUSIONS NOD1/Rip2 expression increased during the progression of myocardial remodeling in SHRs. The NOD1 agonist increased NOD1 expression and promoted myocardial remodeling, while the NOD1 antagonist reduced NOD1/Rip2 expression and protected against myocardial remodeling.

Controlled synthesis of Zeolite adsorbent from low-grade diatomite: A case study of self-assembled sodalite microspheres.

Highly efficient and sustainable conversion technologies to generate uniform sodalite (Na8(AlSiO4)6(OH)2) zeolite microspheres with low-grade waste natural diatomite as raw materials via a solution-mediated crystallization route were developed in the present study. The synthesis process can be considered as an in-situ zeolitization of diatomite precursor without involving any mesoscale template and any post-synthetic modification. The mass ratios of diatomite and AlCl3·6H2O have remarkable effect on the morphology, crystal structure and porosity of sodalite zeolite product. The preferred sodalite microspheres with uniform mesoporous of size 3.5-5.5 nm and large surface area of 162.5 m2/g exhibit well removal performance for heavy metal ions (Pb(II), Cd(II), Zn(II), and Cu(II)), with the highest adsorption abilities for Pb(II) ions of 365 mg/g. In addition, the effect of contact time, initial ion concentration, competitive adsorption and solution pH were evaluated. The removal performance results from synergistic effects of dominating cation-exchange and additional surface chemisorption. The study may broadly help unveil chemical control reactions of the zeolitization processes of diatomite, and thus facilitates the development of promising zeolite materials for the use in natural and engineered aquatic environments by recycling waste diatomite resources.

Gender Differences in Facial Emotion Recognition Among Adolescents Depression with Non-Suicidal Self-Injury.

Objective: Despite the perception that healthy female are superior at emotional identification, it remains unclear whether gender-specific differences exist in adolescent depression and whether such specific differences in emotional recognition are associated with the most salient feature of adolescent depression---non-suicidal self-injury (NSSI). Methods: In this study, 1428 adolescents (1136 females and 292 males) with depression and NSSI were examined using the Facial Emotion Recognition Task, Patient Health Questionnaire-9 (PHQ-9), and Functional Assessment of Self-mutilation questionnaire (FASM). This study was grouped by gender. Data were analyzed using the descriptive statistics, independent sample t-test, chi-square test, non-parametric test (Mann-Whitney U-test), Spearman correlation and Multiple linear regression analysis. Results: Depressed females reported a significantly greater frequency of self-injurious behaviour and more severe depressive symptoms than males. Face emotion recognition was also significantly more accurate in females and was positively correlated with levels of self-injury and depression, whereas no such correlations were found in males. Among depressed adolescents, face emotion recognition is better in females and is associated with self-injurious behaviour. Conclusion: This study found that the greater susceptibility to depression and NSSI among adolescent females may stem in part from superior recognition and sensitivity to the negative emotions of others.

Covalent organic framework modified vermiculite for total Cr removal and subsequent recycling for efficient ciprofloxacin and NO photooxidation.

Design and fabrication of feasible remediation composites for total Cr (Cr(T)) removal is still challenging but urgently required. Herein, eco-friendly expanded vermiculite (VE) is integrated with a photoactive covalent organic framework (COF) polymer, in which photoinduced electrons of surface anchored COF can freely transfer to Cr(VI) for chemical reduction, and layered expanded VE allows ion exchange between resultant Cr(III) cations and interlayered K+, Ca2+, Mg2+, Na+, etc. The Cr(T) removal capacities of the surface-modified VE with important parameters (solution pH value, initial Cr(VI) concentration, etc.) are discussed extensively to understand how to select the best conditions for optimum Cr(T) removal performance. More interestingly, from a circular economy view point, spent Cr-loading VE-based waste can serve as a photocatalyst towards oxidation conversion of ciprofloxacin and NO gas subsequently. Explanations for different effects on physicochemical properties as well as catalytic activities of the reused Cr-loading waste are given. This strategy could provide valuable and promising contribution towards the development of sustainable low-cost mineral materials for Cr(T) removal. These findings also shed new light on the research of recycling spent photocatalyst for resource and reutilization.

Global burden of disease attributable to high systolic blood pressure in older adults, 1990-2019: an analysis for the Global Burden of Disease Study 2019.

AIMS: High systolic blood pressure (HSBP), a significant public health challenge, has not been systematically studied in the elderly population in the context of global aging. Understanding the temporal trends of the disease burden associated with HSBP in the elderly population is essential to control and mitigate the harm caused by HSBP. METHODS AND RESULTS: We used the estimated data derived from the Global Burden of Disease Study to analyse the disease burden of HSBP among the elderly population by region, sex, and temporal changes from 1990 to 2019. We found that the number of deaths due to HSBP increased to 7.86 (95% UI: 6.89-8.82) million, with an increase of 54.1%, and the number of disability-adjusted life years (DALYs) increased to 146 (95% UI: 130-162) million, with an increase of 52.4%. Conversely, the death and DALY rates of HSBP decreased by -27.0 and -27.8%, respectively. At the national and regional levels, Australasia and other high socio-demographic index regions have made significant improvements in the burden of HSBP, while it remains high in other regions of the world. Additionally, the burden of HSBP in older men is greater than that in older women. CONCLUSION: Our findings indicate that the current prevention and control of HSBP in older adults is poor, with the total burden increasing significantly. There is an urgent need to implement feasible measures to resist HSBP and lessen the disparity of the global HSBP burden for older adults.

Efficient Recycling Blast Furnace Slag by Constructing Ti-Embedded Layered Double Hydroxide as Visible-Light-Driven Photocatalyst.

In this work, a strategy of heat treatment-precipitation has been developed to recycle Ti-containing metallurgical solid waste by forming Ti-embedded MgAl layered double hydroxide (TMA-LDH). This facile and simple route is featured by the dedicated utilization of the composition of slag with high overall recovery efficiency. Importantly, as-obtained product exhibits visible light response distinctly different from that of pristine MA-LDH ascribed to the Fe doping inherited from initial slag. Its mesoporous nanostructure also provides more microchannels for mass and carrier transfer. As such, excellent photocatalytic activity towards degradation of tetracycline hydrochloride is achieved, and 88% removal could be obtained in 60 min. Furthermore, 44% increase in efficiency than that of Ti-excluded LDH also indicates the synergistically promoting effect of Ti incorporation. Mechanism investigation suggests that Ti incorporation regulates the electronic structure of pristine LDH with more active sites, and favors the formation of radicals with improved oxidative ability for photocatalysis.

CO2-assisted 'Weathering' of Steel Slag-Derived Calcium Silicate Hydrate: A Generalized Strategy for Recycling Noble Metals and Constructing SiO2-Based Nanocomposites.

The spent adsorbent loaded by toxic metals is a solid hazardous waste which could cause significant secondary pollution due to potential possible additional release of metal ions. Therefore, the main subject is direct reutilization of spent adsorbents which can further economically and realistically offer new features, like recycling metal adsorbed, or formation of functional SiO2-based nanocomposites. The nanoporous structure and negative surface charges enable steel slag-derived amorphous calcium silicate hydrate (CSH) to retain effectively the incoming metal ions (e. g. Au3+, Ag+, Pd2+, Fe3+, Co2+, Ni2+, Cu2+, Zn2+, Ce3+, Y3+, and Gd3+) by chemisorption. Sparked by natural carbonation 'weathering', which ultimately sequestrates atmospheric CO2 by alkaline silicate minerals to leach calcium from mineral matrix, the decalcification reactions of metal-bearing CSH results in successful recovery of noble metals (Ag, Au, Pd) upon NaOH etching the resultant SiO2 support. Further, SiO2-based heterostructures, containing nanocrystalline metals (e. g. Au0, Ag0, Pd0, Fe0, Co0, Ni0, Cu0, and Zn0) or rare-earth oxides (e. g. CeO2, Y2O3, and Gd2O3), are formed after reduction in H2/Ar (5 vol% H2) flow, which is also very important for the multipurpose immobilization of diverse hybrid materials on SiO2 surface (e. g. Cu0-Ag0@SiO2, Cu0-CeO2@SiO2, and Cu0-Ag0-CeO2@SiO2).

In-situ constructing nanostructured magnesium ferrite on steel slag for Cr(VI) photoreduction.

An innovative method is created for transforming iron-rich RO phase (MgO0.239FeO0.761) on steel slag surface into nanostructured Mg0.04Fe2.96O4 layer. The phase change process is investigated, and it is found that salicylic acid modification and alkaline roasting procedures remarkably increase the specific surface area from 0.46 m2/g (raw steel slag) to 69.5 m2/g (Mg0.04Fe2.96O4), and the generation of Mg0.04Fe2.96O4 enhances the absorption of visible light and Cr(VI) conversion with 2-times increasement than raw steel slag. Surface complexation between H2C2O4 ligands and Fe metal moiety on Mg0.04Fe2.96O4 induces the intramolecular electron transfer under visible light irradiation based on a ligand-to-metal charge transfer mechanism, thus resulting in Cr(VI) photoreduction, and the catalytic efficiency is above 90% for Cr(VI) (40 mg/L) under inherent pH= 5.5 conditions. Moreover, recyclability tests based on magnetic separation show that the photoreactivity is closely related to Mg content of Mg0.04Fe2.96O4 layer where Mg leaching occurs and finally generates cubic spinel configuration Fe3O4. This work highlights the importance of surface functionalization in post-use phases of steel slag in which surface reactivity and application potential can be greatly altered by chemical exposure history and surface transformations. It also provides valuable references for studying the metastable state mechanism of magnesium ferrite photocatalysts.

Liraglutide Up-regulation Thioredoxin Attenuated Müller Cells Apoptosis in High Glucose by Regulating Oxidative Stress and Endoplasmic Reticulum Stress.

Purpose: Diabetic retinopathy (DR) has become one of the most important complications of diabetes which is the leading cause of vision impairment and blindness all over the world. Increasing evidence shows that reactive gliosis are basic pathological features of early DR. The study was aimed to explore the protective effect and mechanism of Liraglutide (LIRA) which has similar properties to Glucagon-like peptide-1 (GLP-1) on Müller cell damage induced by diabetes. Materials and methods: In vitro, the Müller cell was cultured in high glucose (HG) to establish the model of diabetic retinopathy. The apoptosis was detected using flow cytometry. Western blot and immunofluorescence were used to detect the expression of related proteins. DCFH-DA probe was used to detect the ROS generation. Results: The data showed that the apoptosis and the expression of GFAP were increased significantly with HG treatment. However, the apoptosis percentage and the expression of GFAP were decreased after LIRA treatment. Moreover, the expression of p-Erk/Nrf2/Trx-signaling pathway proteins was also up-regulated and the generation of ROS was decreased after LIRA treatment which was inhibited after treatment with U0126 (Erk inhibitor). Besides, endoplasmic reticulum stress (ER stress) related proteins were up-regulated after Trx down-regulation by transfection with sh-RNA. Conclusions: LIRA could protect Müller cells from HG-induced damage via activating p-Erk pathway through increasing Trx expression which attenuated oxidative stress and ER stress. Trx could play a key role in the process.

A general route to modify diatomite with niobates for versatile applications of heavy metal removal.

A general solution-phase strategy is developed to synthesize nanostructure niobates such as MnNb2O6, SnNb2O6 and ZnNb2O6 on natural mineral diatomite for water environmental remediation. (NH4)2C2O4 aqueous solution is the key to achieve a scalable and controllable synthesis of niobate/diatomite hybrid systems, which generates NH3·H2O for surface etching activation of diatomite, and H2C2O4 for complexation dissolution of Nb2O5, enabling the heterogeneous crystallization process to proceed with controllable growth kinetics. First principle calculations indicate that both niobium atom and niobium-oxygen species have the lowest adsorption energy on SiO2 surface, and then induce the nucleating process of Nb-O-Mn (or Zn, Sn) networks. Cr(vi), Fe(iii), and Pb(ii) ions are taken as target pollutants to evaluate the water-cleaning ability of the niobate-modified diatomite. Possible mechanisms for the photoreduction of Cr(vi), physical adsorption of Fe(OH)3 colloids, and chemisorption of Pb(ii) ions are proposed on the basis of experimentally investigations. The possibility of combining the advantages of natural mineral diatomite and nanostructured niobates provides a highly robust and potential material system with versatile functionalities of heavy metal ion removal, demonstrating great promise for a wide range of water purification.